Organization · Type 2 NPI

Suburban Nephrology Group PA

Specialist · Wayne, NJ

NPI number 1972614022 Active

Practice location

510 Hamburg Tpke, Suite 108
Wayne, NJ 07470-2025

Call (973) 389-1119 Map

Fax (973) 389-1145

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972614022

Suburban Nephrology Group PA's National Provider Identifier is 1972614022, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wayne, NJ. The record was last updated on Dec 30, 2019.